Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K7/00—Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
  • C07K7/04—Linear peptides containing only normal peptide links
  • C07K7/14—Angiotensins: Related peptides
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
  • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
  • A61K47/62—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being a protein, peptide or polyamino acid
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P37/00—Drugs for immunological or allergic disorders
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/12—Antihypertensives
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K39/00—Medicinal preparations containing antigens or antibodies
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K2319/00—Fusion polypeptide

Definitions

• the present invention relates to analogues or derivatives of the mammalian peptide hormones angiotensin I and angiotensin II, and to immuno- therapeutic uses of these in particular for the therapy and prophylaxis of conditions associated with the renin activated angiotensin system.
• Angiotensin peptides are involved in controlling arterial pressure in mammals . They are produced in several forms in the body as a result of a biochemical cascade known as the renin-angiotensin system (RAS) , initiated by renin produced as a result of a fall in arterial pressure.
• RAS renin-angiotensin system
• renin is released by the kidneys from stored pro-renin following a fall in arterial blood pressure, and acts enzymatically upon angiotensinogen to produce angiotensin I which is a decapeptide having the sequence
• angiotensin converting enzyme ACE
• ACE angiotensin converting enzyme
• Angiotensin I is very short lived within the body and has mild vasoconstrictor activity. Alone therefore it has insignificant effect on the circulatory system.
• Angiotensin II is a vasoactive peptide which has a profound effect on the circulatory system, as well as on the endocrine system. Elevated levels of RAS- activated angiotensin II cause vasoconstriction and renal retention of salt and water, both of which contribute to increased arterial pressure (hypertension) which can lead to cardiovascular damage.
• Angiotensin II has been implicated in a number of other disease states, including congestive heart failure.
• Hypertension is a major risk factor for heart attacks and strokes and congestive heart failure is the disease with the highest mortality within a few years of onset.
• Current treatment for these diseases includes intervention in the RAS system using small organic molecules .
• One approach attempts to inhibit ACE with inhibitors such as lisinopril, captopril and enalapril, agents which are now established in management of hypertension. These drugs have not however been entirely successful. It seems that inhibition of ACE is only partial. Furthermore, because ACE lacks substrate specificity, biotransformation of other metabolically active peptides, including bradykinin may also be inhibited, which is undesirable.
• drugs need to be taken on a regular basis, often for long periods, such as for the majority of adult life.
• a major drawback, however, of these drugs is their undesirable side effects, including dry cough and a first dose hypotensive effect with dizziness and possible fainting.
• anti-hypertensive therapies invariably need to be taken long term, e.g. for up to 30 years and sometimes even longer, these adverse side effects can result in loss of patient compliance, particularly in the absence of short term clinical benefit in a mainly asymptomatic condition, severely limiting the usefulness of this therapeutic approach.
• a more recent therapeutic approach involves drugs which are angiotensin receptor antagonists which are intended to block the activity of angiotensin II. Examples include losartan and valsartan.
• agents which have been developed to date appear to be specific for only the AT X angiotensin receptor; they therefore block the dominant vasoconstrictor effects of angiotensin II, and are better tolerated but do not affect other actions of the angiotensin hormones.
• a potential approach in treating or preventing diseases or disorders associated with the activity of a hormone is to neutralise the effects of the hormone within the patient by immunotherapy i.e. by immunising the patient against the hormone such that the activity of the hormone is neutralised by specific anti-hormone antibodies.
• immunotherapy i.e. by immunising the patient against the hormone such that the activity of the hormone is neutralised by specific anti-hormone antibodies.
• Such antibodies may be exogenously administered in passive immunisation or they may be generated in si tu by active immunisation using an immunogen based on the hormone.
• derivatives of angiotensin have been developed in which one or more angiotensin peptides are coupled to a binder moiety, e.g. a peptide sequence, which facilitates attachment of the angiotensin peptide to an immunological carrier such as a protein or polypeptide to form an immunogenic conjugate capable in an immunised host of inducing antibodies which bind to angiotensin and neutralise its effects.
• induced antibodies include those which may also bind to the precursor form, angiotensinogen and in this way, cleavage by renin to angiotensin I is prevented, thereby providing an additional blockade of the system.
• the present invention thus provides an angiotensin derivative comprising at least one angiotensin peptide moiety coupled to a peptide carrier- binding moiety.
• angiotensin derivatives may be used to immunise a patient against the hormone angiotensin II and/or its polypeptide precursor angiotensin I and/or angiotensinogen such that the activity of the hormone is neutralised by specific anti-hormone or antipolypeptide antibodies .
• the angiotensin peptide moiety may be any moiety, without necessarily having the biological activity of a native angiotensin (ie. native hormone activity at the receptors, including both angiotensins I and II) , in the body which is capable of acting as an immunomimic of native angiotensin peptides i.e.
• such a moiety may conveniently comprise an angiotensin peptide, preferably angiotensin I (a decapeptide of formula Asp- Arg-Val-Tyr-Ile-His-Pro-Phe-His- eu) or angiotensin II (an octapeptide of formula Asp-Arg-Val-Tyr-Ile-His-Pro- Phe) , or a functionally equivalent variant thereof.
• angiotensin peptide preferably angiotensin I (a decapeptide of formula Asp- Arg-Val-Tyr-Ile-His-Pro-Phe-His- eu) or angiotensin II (an octapeptide of formula Asp-Arg-Val-Tyr-Ile-His-Pro- Phe) , or a functionally equivalent variant thereof.
• Such variants may include modifications of the angiotensin I or II sequence by single or multiple amino acid substitution, addition or deletion and also sequences where the amino acid residues are chemically modified, but which nonetheless retain angiotensin immunogenic activity.
• Such functionally (ie. immunologically) equivalent variants may occur as natural biological variations, or they may be prepared using known and standard techniques for example by chemical synthesis or modification, mutagenesis, e.g. site-directed or random mutagenesis etc. The important feature as regards the modification is that the angiotensin peptide retains the ability to act as immunomimic of native angiotensin.
• an amino acid may be replaced by another which preserves the physicochemical character of the angiotensin peptide or its epitope(s) e.g. in terms of charge density, hydrophilicity/hydrophobicity, size and configuration and hence preserve the immunological structure .
• "Addition" variants may include N- or C-terminal fusions as well as intrasequence insertion of single or multiple amino acids. Deletions may be intrasequence or may be truncation from the N- or C-termini.
• angiotensin peptide as used herein includes all native angiotensin peptides and their functionally equivalent variants .
• the carrier-binding moiety serves as a means by which the angiotensin peptide moiety may be attached to an immunological carrier, which will generally be a protein or polypeptide, and thus preferably contains an amino acid residue having a reactive side chain, via which the angiotensin derivative may readily be coupled to the carrier using standard coupling techniques.
• an immunological carrier which will generally be a protein or polypeptide, and thus preferably contains an amino acid residue having a reactive side chain, via which the angiotensin derivative may readily be coupled to the carrier using standard coupling techniques.
• a side chain may contain a free hydroxyl, carboxyl or thiol group.
• Such an amino acid may thus conveniently be a cysteine, tyrosine, aspartic acid or glutamic acid residue or a derivative thereof such as N-acetyl cysteine.
• Angiotensin analogues of the invention have been shown to have improved coupling to an immunological carrier for inducing antibodies which can be used immunotherapeutically and these analogues have advantages in this regard over the native peptide.
• the carrier-binding moiety may take the form of a peptide extension at the N- or C-terminal of an angiotensin peptide, or a peptide pendant from or disposed within a chain segment between two or more angiotensin moieties.
• angiotensin derivative of Formula I (A) -X n ) m -L p -Y- [ q (X r - (A) ) s ] t (I) wherein
• A represents an angiotensin peptide moiety
• X represents an amino acid
• A is an angiotensin peptide
• X may be attached at the N- or C-terminus of the angiotensin peptide.
• Formula (I) include derivatives wherein a carrier binding moiety (i.e. X-Y or X-L-Y) is attached at the N- or C-terminus of an angiotensin peptide, as a simple N- or C-terminal extension, or wherein multiple angiotensin peptide moieties are linked to a carrier-binding moiety terminating in a group Y, for example as a dendritic array or where the angiotensin moieties are attached at multiple sites on the carrier-binding moiety.
• a carrier binding moiety i.e. X-Y or X-L-Y
• the derivatives may take the form of a "dimer" -type structure wherein the carrier-binding group Y of the carrier-binding moiety is disposed within a chain segment of the derivative i.e. effectively between two or more angiotensin peptide moieties .
• L may be or include a "chain-inverting" amino acid or pseudo amino acid (i.e. a compound capable of linking two peptide moieties, e.g. a diamine or dicarboxylic acid) , this being a compound capable of inverting or reversing the N- to C-terminal direction of the peptide chain.
• a compound will thus generally include two amino or two carboxylic acid groups, e.g. glutamic acid or a , ⁇ -alkylene diamine or ⁇ , ⁇ -alkylene dicarboxylic acid.
• Preferred compounds of Formula (I) include those wherein n and r are each 0-10, preferably 1-6, and those wherein m and s are each ⁇ 8, preferably 1, 2 or 4.
• Group X preferably represents an amino acid having no side chain or a hydrocarbyl side chain (preferably an alkyl, C 3 _ 7 cycloalkyl or cycloalkenyl , C 3 _ 7 cycloalkyl- or cycloalkenyl-alkyl, alkaryl, aralkyl or alkarylalkyl moiety in which each alkyl moiety may be saturated or unsaturated and contains up to 6 carbons and each aryl moiety is preferably a phenyl ring) , particularly preferably an aliphatic side chain.
• Glycine, alanine, ⁇ -alanine, valine, leucine and isoleucine are preferred and glycine is especially preferred.
• Group Y is preferably cysteine, tyrosine, glutamic acid or aspartic acid or a derivative thereof such as N- acetyl-cysteine.
• a preferred group L is a linear or branched peptide chain, eg. containing 2 to 15 amino acid residues. Branching may, of course, occur by peptide bond formation at an amine or carboxyl group of an amino acid residue side chain, eg. at a side chain amine group of lysine or arginine or at a side chain carboxyl group of aspartic or glutamic acid.
• a group L comprising one or more, eg. 1 to 3 , lysine residues is especially preferred. Branching may occur by peptide bond formation at both the -amino and e-amino groups of lysine .
• Preferred compounds of Formula (I) thus include compounds of Formulae (II) to (IV) :
• the compounds of Formula (IV) contain more than one (A) group, these are preferably attached at the same terminus i.e. preferably all are N-terminally or all are C-terminally attached.
• Y is preferably cysteine. Where X is attached to the N-terminus of A, Y is preferably N-acetyl- cysteine.
• X n or X r are each preferably chains of 1 to 6 glycine residues.
• m is preferably 2 or 4.
• L is preferably lysine, -lys-(X) u , -lys-lys- (X) u , or -lys -lys- (X) u
• u is 0 to 10, preferably 0 to 6, and X is an amino acid as defined above.
• preferred compounds of Formula (IV) are those of Formulae (VI) and (VII) :
• the angiotensin peptide moiety may preferably be a "reversed” or "inverted” sequence variant of an angiotensin peptide ie . an angiotensin peptide in which the order of the constituent amino acids is reversed.
• angiotensin derivatives include: A- (Gly) 1 _ 6 -cys;
• the A- (Gly) ⁇ -moiety may be bonded to either the ⁇ - amino or the e-amino group
• A is angiotensin I or angiotensin II and A' is angiotensin I or angiotensin II or an inverted or reverse angiotensin I or angiotensin II sequence.
• Glycine is preferred, aliphatic side chain amino acids may be used in place of one or more of the Gly residues in the above formula.
• peptide analogues of the invention when examined by computer-aided energy minimisation modelling are generally considered too small to be optimally immunogenic alone, it has been found that when coupled via the carrier-binding moiety to a carrier, these peptide analogues elicit a strong protective immune response. They are thus eminently suitable for use in immunotherapy against RAS-associated conditions. Without wishing to be bound by theory, it is believed that coupling of the peptides to a carrier by means of the carrier-binding moiety results in the analogues having substantially the same conformation as that of the native angiotensin peptides.
• the new derivatives according to the invention may be generated using a number of standard techniques including, for peptides, the Merrifield solid phase method in which amino acids are added stepwise to a growing polypeptide linked to a solid matrix as described in R.B. Merrifield, Fed. Proc. Amer. Soc . Biol. (1962). 21, 412 and R.B. Merrifield, Jour. Amer. Chem. Soc. (1963), 85, 2149 and conventional FMOC chemistry. If desired, reactive side chain groups of the amino acids in the growing chain may be protected during the chain synthesis . Branched structures may be prepared by similar techniques.
• the new derivatives are linear peptides these may also be prepared by recombinant DNA expression using techniques known in the art e.g. as described, for example, by Sambrook et al . , in Molecular Cloning: A Laboratory Manual, Second Edition, 1989.
• the present invention also provides a nucleic acid molecule coding for the angiotensin peptide derivatives of the invention, and nucleic acid molecules with sequences complementary thereto.
• an expression vector comprising the said nucleic acid molecule of the invention.
• a vector may be suitable for expression in microorganisms which may be prokaryotic or eurkaryotic e.g. E coli or yeast, or in plant or animal e.g. mammalian cells.
• Such an expression vector capable in si tu of synthesising an angiotensin derivative according to the invention may also be used therapeutically and may be introduced to the subject in a variety of ways.
• Examples of these include topical application of the 'naked' nucleic acid vector in an appropriate vehicle for example in solution in a pharmaceutically acceptable excipient such as phosphate buffered saline (PBS) , or administration of the vector by physical methods such as particle bombardment, also known as 'gene gun' technology, according to methods known in the art e.g. as described in US-5371015 in which inert particles, such as gold beads coated with the vector are accelerated at speeds sufficient to enable them to penetrate the skin surface, by means of discharge under high pressure from a projecting device.
• PBS phosphate buffered saline
• Nucleic acid sequences encoding angiotensin derivatives of the invention may also be used immuno- therapeutically in the form of delivery vectors.
• delivery vectors include viral delivery vectors, such as adenovirus or retrovirus delivery vectors known in the art into which the nucleic acid sequence is incorporated and which can be used for immunisation in ways known in the art.
• Other non-viral delivery vectors which may be used to deliver the nucleic acid vectors of the invention include lipid delivery vectors, including liposome delivery vehicles, known in the art.
• the present invention provides a host organism transformed with a vector according to the invention.
• angiotensin derivatives of the invention may be of insufficient size to stimulate antibody formation alone and may thus need to be conjugated to a macromolecular carrier in order to stimulate antibody production and a protective immune response.
• the present invention provides an angiotensin derivative as defined above conjugated to a carrier, preferably a polypeptide carrier. Coupling of the derivative of the invention to the carrier may be by methods known in the art for example by treatment with heterobifunctional linking agents.
• the linking agent may be m-Maleimidobenzoyl- N-hydroxysulphosuccinamide ester; in which case maleimide modifies one or more lysine side chains in the peptide carrier, and a thioether bond forms at the terminal cysteine residue.
• Other coupling reagents known in the art, eg carbodiimide coupling, may also be used.
• any carrier known in the art for such purposes may be used, including the purified protein derivative of tuberculin, tetanus toxoid, diphtheria toxoid, keyhole limpet haemocyanin or derivatives thereof.
• the angiotensin derivative is a linear peptide and the carrier is a protein or polypeptide
• the entire peptide conjugate may also be made by recombinant DNA methods wherein a nucleic acid molecule encoding the conjugated molecule is expressed in an appropriate host cell.
• the new angiotensin derivatives of the invention may be used in an immunotherapeutic approach to combatting diseases associated with normal or elevated levels of RAS activity and/or angiotensin peptides, and represents an advantageous method compared to currently available methods .
• Patient compliance should be increased in that less frequent dosing than is the case with current therapies is involved, and undesirable side effects are avoided.
• the present invention provides a pharmaceutical composition comprising an angiotensin derivative according to the invention, or a conjugated angiotensin derivative according to the invention, together with one or more pharmaceutically acceptable carriers or excipients.
• the invention provides an angiotensin derivative according to the invention for use in therapy.
• the invention provides the use of an angiotensin derivative according to the invention in the manufacture of a medicament for use in combatting diseases associated with the renin- angiotensin system.
• diseases include congestive heart failure and hypertension such as systemic hypertension and other diseases in which the renin- angiotensin system contributes to the pathophysiology thereof, as well as diseases where the renin-angiotensin system has elevated levels of activity.
• the invention provides a method of combatting conditions associated with the renin-angiotensin system comprising administering an angiotensin derivative according to the invention.
• the method may be used to modulate blood pressure.
• the angiotensin derivative according to the invention optionally conjugated to a carrier or recombinant nucleic acid encoding for the derivative may be administered by all conventional methods including parenterally (e.g. intraperitoneally, subcutaneously, intramuscularly, intradermally for example in the form of inert particles such as gold pellets or beads to which the derivative is adsorbed which may be accelerated at speeds sufficient to enable them to penetrate the skin of a subject, or intravenously) , topically (e.g. as a cream to the skin), intra- articularly, mucosally (e.g.
• intrapulmonary delivery for example by means of devices designed to deliver the agents directly into the lungs and bronchial system such as inhaling devices and nebulisers, and formulated according to conventional methods of pharmacy optionally with one or more pharmaceutically acceptable carriers or excipients, such as for example those described in Remingtons
• compositions are conveniently formulated in unit dosage form e.g. for mucosal, parenteral or oral administration.
• parenteral administration by subcutaneous or intramuscular injection may be with a sterile aqueous suspension of the conjugated analogue in PBS, saline or water for injection, optionally together with one or more immunological adjuvants e.g. aluminium hydroxide, saponin, quil A, muramyl dipeptide, mineral or vegetable oils, vesicle-based adjuvants, non-ionic block co- polymers, or DEAE dextran. Additional components such as preservatives may be used.
• immunological adjuvants e.g. aluminium hydroxide, saponin, quil A, muramyl dipeptide, mineral or vegetable oils, vesicle-based adjuvants, non-ionic block co- polymers, or DEAE dextran. Additional components such as preservatives may be used.
• the dosage for injection may be in the range 1-100 ⁇ g peptide equivalent and the frequency of administration may be upwards of from once every three or six months, to once every year or once every five years .
• the conjugated derivatives may be formulated as tablets, liquid, capsules etc. Dosages range from 1 to 1000 ⁇ g peptide equivalent with dosing occurring at intervals dependent on bioavailability of product.
• the present invention provides a method for achieving maximal blockade of angiotensin hormones comparable to or exceeding that achieved by existing therapies based on ACE inhibitors and/or angiotensin II receptor antagonists, said method comprising administering an angiotensin derivative according to the invention.
• Figure 2 is a graph showing peak change in blood pressure following administration of Al in control rats and in rats immunised with a conjugate of an analogue of
• Figure 3 shows recordings of mean blood pressure changes in response to Al in animals of groups A and C of Example 4.
• Figures 4 , 5 and 6 are bar charts showing antibody titres measured in terms of A 450 in an ELISA assay using in the assay in Figure 4 angiotension I, in Figure 5 angiotensin II and in Figure 6 angiotensinogen, the ELISAs showing the binding of partially purified rat antisera raised against vaccines containing analogues of angiotensin hormones.
• Figures 7 and 8 are graphs showing antibody titres against time (sample day) for the following derivatives
• Example 1 Peptide generation.
• Tentagel S-NH2 with a Rink Amide linker The side chain protecting groups of the Fmoc amino acids used were Trt for Cys His, Asn and Gin, tBu for Tyr Thr, Asp, Glu and Ser; Boc for Lys and the indole N of Trp, Pmc for Arg. Activation of the carboxyl groups was achieved using,
• Fmoc Lys (Fmoc) -OH is attached by the methods above and gives both ⁇ and e amino groups free for peptide elongation. Quantities of Fmoc amino acids used have to be increased accordingly.
• Rink Amide Linker p- [ (R, S-- [1- (9H-Fluoren-9-yl) - methoxyformamido] -2 , 4-dimethoxybenzyl] -phenoxyacetic acid
• Trt Trityl
• Triphenylmethyl tBu tertiary butyl
• Boc tertiary butyloxycarbonyl
• TBTU 2- (lH-Benzotriazole-1-yl) -1,1,3,3- tetramethyluronium tetrafluoroborate
• HOBt N-Hydroxybenzotriazole
• DIPEA Diisopropylethylamine
• TES Triethylsilane
• TFA Trifluoroacetic acid
• MALDI-TOF Matrix assisted laser desorption ionisation
• Fmoc-Lys (Fmoc) -OH ⁇ , e di-9-fluorenylmethoxycarbonyl lysine
• PBS phosphate buffered saline
• the resulting carrier protein solution is purged with N 2 , and a 12 molar excess of angiotensin derivative peptide added.
• the resulting solution is stirred for 4 hours at 20°C in a sealed container.
• the conjugate is purified from free peptide by gel exclusion chromatography as above.
• a final assay for loss of free maleimido groups is performed on a sample of the mixture to prove that all available sites are conjugated.
• the final conjugate is diluted to a working concentration and formulated as desired.
• angiotensin derivatives (1) to (4) of Example 1 were conjugated individually to aliquots of tetanus toxoid.
• Example 2 The four angiotensin derivatives of Example 1, conjugated individually to aliquots of tetanus toxoid as described in Example 2, were formulated by adsorption to 0.4% (w/v) aluminium hydroxide gel (Alhydrogel, Superfos s/a, Denmark) in a normal saline (0.9% (w/v)) vehicle.
• the route used was subcutaneous and each rat received 3 separate doses of the specified test article during the course of the study.
• the rats received a single subcutaneous dose of the vehicle, or the test articles. Twenty four hours following each administration (days 2, 23 and 44) and on further days specified in table 1 a venous blood sample (0.5 ml) was subsequently taken while the rat was restrained.
• Each sample of venous blood was collected in a glass tube, cooled on ice and allowed to clot, then centrifuged to yield serum within 45 minutes of sampling. Serum samples were frozen at approximately -20°C as soon as possible .
• Each serum sample was assayed for the generation by the treatment of an antibody response by titration of anti- angiotensin peptide-antibodies present in the sera by Enzyme Linked ImmunoSorbant Assay (ELISA) .
• ELISA Enzyme Linked ImmunoSorbant Assay
• the plate was read for absorbance of light at 405 nm generated by the reaction of the peroxidase enzyme on the TMB substrate and is proportional to the amount of primary (anti-angiotensin) antibody bond. Results for the 4 sample conjugate formulations of derivatives (1) to (4) of Example 1 are shown in Figure 1.
• the titre is the SAS estimated dilution of serum required for a 0.1 OD change from baseline levels in the ELISA assay.
• Example 4 Effects of active immunisation against angiotensin peptides on the pressor effects of exogenous angiotensin I (Al) in conscious rats
• the angiotensin analogues used in this study were:
• Al analogue is: N-acetyl-cysteine-glycine-angiotensin I All analogue is: N-acetyl-cysteine-glycine-angiotensin II
• the analogues of Al and All were prepared using a Symphony peptide synthesiser (Anachem) .
• conjugation carrier proteins tetanus toxoid (TT) (Chiron Behring, GmbH) , keyhole limpet haemocyanin (KLH) (Biosyn, GmbH) and non toxic recombinant diphtheria toxin (DT) (Chiron Behring, GmbH)
• TT tetanus toxoid
• KLH keyhole limpet haemocyanin
• DT non toxic recombinant diphtheria toxin
• the conjugates were sterilised by filtration through a 0.2 ⁇ m filter (Millipore) and formulated with adjuvant and saline vehicle to yield the appropriate vaccine for administration .
• Alhydrogel ® (Superfos S.A.) was the chosen aluminium hydroxide gel adjuvant for this study and 0.9% saline (Flowfusor ® , Fresenius) the vaccine vehicle.
• Table 2 shows the conjugate formulations administered to each of the treatment groups.
• the conjugates were formulated with aluminium hydroxide adjuvant, other than the conjugate of Group F which was formulated with DEAE (diethylaminoethyl) -dextran adjuvant.
• ELISA plate wells (Anachem) were coated with lO ⁇ g peptide equivalents of either Al or All conjugated to bovine serum albumin (BSA) as a carrier.
• BSA bovine serum albumin
• the coated wells were washed with PBS (0.2% w/v) /Tween (Sigma) and blocked with 3% Marvel before diluted sera from the vaccinated rats were incubated in their respective wells.
• the sera had been diluted in PBS (Sigma) over a range from 2,500-20,000 fold.
• Immobilised antibodies were detected in the wells using a rabbit anti-rat IgG/horseradish peroxidase conjugate and revealed using 3 , 3 ' -5 , 5 ' -tetra-methyl benzidine with H 2 0 2 (Sigma) .
• the reaction was terminated after 15 min at 22 °C by the addition of 10% (v/v) H 2 S0 4 (Sigma) .
• ⁇ P ⁇ BP ⁇ +e e ⁇ /V(0, ⁇ 2 )
• d is the dose of Al
• BP max is the maximal change in blood pressure
• ⁇ a shape parameter
• ED 50 is the dose of Al giving a half maximal response.
• Table 3 summarises some of the results, showing that active immunisation caused significant shifts in the pressor dose-response to Al and marked increases in antibody titres.
• Table 3 also demonstrates the relationship between anti- angiotensin antibody titre and response. In general, it can be seen that there is broad agreement between treatment induced titre and mean treatment induced dose shift, but no obvious dose response between groups C and J is apparent.
• Figures 2 and 3 illustrate the results for control rats (Group A) and rats immunised with a conjugate of the Al analogue and tetanus toxoid, presented on an AlOH gel adjuvant at a peptide equivalent dose of 5 ⁇ g (low; Group C) and 25 ⁇ g (high; Group J) .
• Figure 2 is a graph showing pressor effects of Al in control rats (Group A) and rats immunised with Al analogue at a dose of 5 ⁇ g (low, Group C) or 25 ⁇ g (High, Group J) .
• the y axis shows peak change in BP (mm Hg) and the x axis shows the angiotensin I dose (pmol/ rat) in control, high dose group J (25 ⁇ g) and low dose group C (5 ⁇ g) animals.
• Figure 3 shows recordings of mean blood pressure changes in response to Al (3, 18 and 60 pmol bolus dose) in representative animals from group A (control) and Group C (5 ⁇ g dose) .
• Antibodies produced in Example 3 were enriched by affinity chromatography as follows:
• Wash buffer (WB) PBS pH 7.2
• Elution buffer (EB) 0.1M glycine (HCL) pH 2.7
• Neutralizing buffer (NB) 1M Tris (HCL) pH 9
• Storage buffer (SB) 20% ethanol (v/v)
• the HiTrap column was washed and equilibrated with 5 mL of WB.
• the HiTrap column was washed with 5 mL of WB to remove any remaining waste sera .
• Immobilized antibodies were eluted using 10 mL of EB .
• the eluent was collected in 1 ml fractions each being immediately neutralized with 0.1 mL of NB.
• TT Tetanus toxoid
• the ELISA was then completed as by the method described in Example 3 but absorbance was read at 450 nm.
• the ELISA for detection of native angiotensinogen (Sigma: A-2562) was performed by the method of Example 3.
• Toxoid (TT) conjugates TT-NAc-CG-Ang I, Ang I-GC-TT, TT- NAc-CG-Ang II and Ang II-GC-TT were incubated (1 hour 22°C) at 0.5 ⁇ g/ml of PBS pH 7.2.
• Results are shown in Figures 4, 5 and 6 which show absorbance read with ELISA plates coated with angiotensin I (Fig. 4) , angiotensin II (Fig. 5) and angiotensinogen (Fig. 6) and shows that antibodies raised to each of the angiotensin derivatives conjugated to TT ie TT-NAc-CG-Ang I, Ang I-GC-TT, TT-NAc-CG-Ang II and Ang II-GC-TT recognised angiotensin I, angiotensin II and angiotensinogen.
• Example 6 Generation of further angiotensin derivatives and immunisation studies
• Antibody titres were measured using the ELISA technique described in Example 4 against the peptides used in the immunogen.
• Results are shown in Figures 7 and 8 which are graphs showing, on the y axis the antibody titre, as the dilution factor to produce a SASTM (Statistics Analysis System) designated 0.1 OD unit change, at various sample days. Each data point shown represents the mean of 5 serum samples from 5 different animals, each assayed in duplicate .

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• 1998
  • 1998-06-23 ES ES98930927T patent/ES2241147T3/es not_active Expired - Lifetime
  • 1998-06-23 JP JP50401199A patent/JP4850321B2/ja not_active Expired - Fee Related
  • 1998-06-23 AT AT98930927T patent/ATE292143T1/de active
  • 1998-06-23 PT PT98930927T patent/PT1001978E/pt unknown
  • 1998-06-23 EP EP98930927A patent/EP1001978B1/de not_active Expired - Lifetime
  • 1998-06-23 DE DE69829567T patent/DE69829567T2/de not_active Expired - Lifetime
  • 1998-06-23 AU AU81203/98A patent/AU748903B2/en not_active Ceased
  • 1998-06-23 DK DK98930927T patent/DK1001978T3/da active
  • 1998-06-23 EP EP04016314A patent/EP1486505A1/de not_active Withdrawn
  • 1998-06-23 WO PCT/GB1998/001833 patent/WO1998058952A1/en not_active Ceased
  • 1998-06-23 NZ NZ501832A patent/NZ501832A/xx not_active IP Right Cessation
  • 1998-06-23 CA CA002294996A patent/CA2294996C/en not_active Expired - Fee Related
  • 1998-06-24 AR ARP980103052A patent/AR014884A1/es not_active Application Discontinuation
• 2008
  • 2008-04-24 US US12/150,101 patent/US20090105150A1/en not_active Abandoned

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